LINCOLN COUNTY PRIMARY CARE CENTER, INC.


Address: 202 Larry Joe Harless Drive, Suite 205, Gilbert, WV 25621-1842
Phone: 3046646270

LINCOLN COUNTY PRIMARY CARE CENTER, INC. (NPI# 1942523931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942523931
Entity Type Organization
Organization Name LINCOLN COUNTY PRIMARY CARE CENTER, INC.
Other Organization Name SOUTHERN WEST VIRIGNIA HEALTH SYSTEM-GILBERT
Practice Address 202 Larry Joe Harless Drive
Suite 205
Gilbert
WV 25621-1842
Mailing Address 7400 Lynn Ave
Hamlin
WV 25523-1138
Practice Telephone 3046646270
Practice Fax Number 3046646272
Mailing Telephone 3048245806
Mailing Fax Number 3048245885
Enumeration Date 2010-03-05
Last Update Date 2018-10-02
Authorized Official Name LISA LEACH (CEO)
Authorized Official Telephone 3048245806
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810019387 05

Other Provider/Organization Names

Other Name Type Code
Southern West Virignia Health System-Gilbert Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033490149 Lincoln County Primary Care Center, Inc. Clinic/Center 5027 Helena Ave, Suite 1, Delbarton, WV 25670-1301 2011-09-01
1841596277 Lincoln County Primary Care Center, Inc. Clinic/Center 2508 Straight Fork Rd, Alkol, WV 25501 2011-02-02
1396052528 Lincoln County Primary Care Center, Inc. Clinic/Center 506 Crawley Creek Rd, Chapmanville, WV 25508-7002 2010-09-09
1861662199 Lincoln County Primary Care Center, Inc. Clinic/Center 7400 Lynn Avenue, Hamlin, WV 25523 2008-03-03
1457541229 Lincoln County Primary Care Center, Inc. Clinic/Center 5304 Straight Fork Road, Griffithsville, WV 25521-9504 2007-07-27
1093848301 Lincoln County Primary Care Center, Inc. Clinic/Center 5322 Mcclellan Hwy, Branchland, WV 25506-8725 2007-03-14
1457610594 Lincoln County Primary Care Center, Inc. Clinic/Center 1563 Sand Plant Rd, South Charleston, WV 25309-6120 2012-05-10
1366723975 Lincoln County Primary Care Center, Inc. Clinic/Center 1 Wildcat Way, Logan, WV 25601-3474 2011-09-09
1689997678 Lincoln County Primary Care Center, Inc. Clinic/Center 600 E Mcdonald Ave, Man, WV 25635-1023 2010-03-05
1255521027 Lincoln County Primary Care Center, Inc. Clinic/Center 5322 Mcclellan Hwy, Branchland, WV 25506-8725 2007-07-27

Office Location

Street Address 202 LARRY JOE HARLESS DRIVE
SUITE 205
City GILBERT
State WV
Zip Code 25621-1842

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417022617 Appalachian Rehab Centers, Inc. Clinic/Center 202 Larry Joe Harless Drive, Pob 1987, Gilbert, WV 25621 2006-11-22
1255777595 Gilbert Ultrasound Services LLC Clinic/Center 202 Larry Joe Harless Drive, Suite 207, Gilbert, WV 25621 2013-05-14
1609116870 Avery B Ritchie Radiologic Technologist 202 Larry Joe Harless Drive, Gilbert, WV 25621 2013-02-25
1568730018 Integrated Health Care Providers, Inc. Urology 202 Larry Joe Harless Drive, Gilbert, WV 25621 2011-12-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730669524 Williamson Health & Wellness Center Inc Clinic/Center 2475 Rte 52, Gilbert, WV 25621 2018-08-21
1265734347 Larry Edward Cole Dentist Rt 52 Main Street, Gilbert, Gilbert, WV 25621 2010-11-23
1396053484 Mary Jane Phipps Nurse Practitioner 202 Larry Joe Harless Dr, Gilbert, WV 25621 2010-09-22
1720206774 Riverside Pharmacy Inc Durable Medical Equipment & Medical Supplies 22 Larry Joe Harless, Gilbert, WV 25621 2007-04-23
1871719054 Cameron Keith Hatfield Pharmacist 22 Larry Harless Drive, Gilbert, WV 25621 2007-04-17
1104042381 Gary Lane Cunningham Pharmacist 22 Larry Joe Harless Dr., Gilbert, WV 25621 2007-04-17
1376572479 Family Healthcare Associates Inc Family Medicine 6th Avenue & Vinus Street, Family Healthcare Associates Inc, Gilbert, WV 25621 2006-07-01
1225597628 David Allen Hopkins II Pharmacist 292 Main Street, Gilbert, WV 25621 2019-03-15
1467925487 Lincoln County Primary Care Center Inc Pharmacy 202 Larry Joe Harless Dr, Gilbert, WV 25621 2019-01-03
1770009615 Walgreen Co Durable Medical Equipment & Medical Supplies 292 Main St, Gilbert, WV 25621 2017-08-22
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730669524 Williamson Health & Wellness Center Inc Clinic/Center 2475 Rte 52, Gilbert, WV 25621 2018-08-21
1619977360 Community Health Foundation Clinic/Center Main Street Rt 80, Gilbert, WV 25621-0925 2005-07-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801493499 Camden On Gauley Medical Center Inc Clinic/Center 52 Florence Street, Ansted, WV 25812 2020-10-06
1194339309 Community Care of West Virginia, Inc. Clinic/Center 33 E Victoria St, Buckhannon, WV 26201-2671 2020-09-04
1063048189 Community Care of West Virginia, Inc. Clinic/Center 34 N Kanawha St, Buckhannon, WV 26201-2714 2020-03-20
1619503422 Change Inc Clinic/Center 114 Taylor Ave, Weirton, WV 26062-4635 2020-03-13
1861023699 Logan-mingo Area Mental Health, Inc Clinic/Center 2954 Buffalo Creek Road, Chattaroy, WV 25667 2020-01-30
1689220402 New River Health Association, Inc. Clinic/Center 2 Greyhound Ln., Smithers, WV 25186 2019-08-16
1740836873 Williamson Health & Wellness Center Inc Clinic/Center 5 Parkway Dr, Williamson, WV 25661-3428 2019-08-14
1699321729 Williamson Health & Wellness Center Inc Clinic/Center 50 Panther Blvd, Williamson, WV 25661-7441 2019-08-14
1083260129 Williamson Health & Wellness Center Inc Clinic/Center 300 Blue Devil Lane, Kermit, WV 25661 2019-08-14
1225684731 Williamson Health & Wellness Center Inc Clinic/Center 1000 King Coal Hwy, Delbarton, WV 25670-9529 2019-08-12
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Competitor

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City GILBERT
Zip Code 25621

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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